Active NPI
Stephanie A Spino, MS, CCC-SLP
- Speech-Language Pathologist
- Louisville, KY
National Provider Identifier
1609345651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9508
- Practice address
- 2701 Chestnut Station CT
Louisville, KY 40299-6395 - Phone
- (800) 335-1060
- NPI assigned
- Nov 20, 2018
- Last updated
- Nov 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9508 | MA | Primary |
Addresses
Primary practice location
2701 Chestnut Station CT
Louisville, KY 40299-6395
Mailing address
2 Wildwood Rd # 274
Forestdale, RI 02824-1204
Phone (401) 486-7133
Other practice location 1
3 Lyman St
Westborough, MA 01581-1442
Phone (978) 549-3797
Other practice location 2
85 Beaumont Dr
Northbridge, MA 01534-1093
Phone (508) 234-9771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9508 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1609345651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WILDWOOD RD # 274",
"city": "FORESTDALE",
"state": "RI",
"postal_code": "028241204",
"telephone_number": "401-486-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 CHESTNUT STATION CT",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402996395",
"telephone_number": "800-335-1060"
}
],
"practiceLocations": [
{
"address_1": "3 Lyman St",
"address_purpose": "LOCATION",
"city": "Westborough",
"state": "MA",
"postal_code": "015811442",
"country_code": "US",
"telephone_number": "978-549-3797",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "85 Beaumont Dr",
"address_purpose": "LOCATION",
"city": "Northbridge",
"state": "MA",
"postal_code": "015341093",
"country_code": "US",
"telephone_number": "508-234-9771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPINO",
"first_name": "STEPHANIE",
"middle_name": "A",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-20",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "9508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.